Pain management after Ferguson Hemoroidectomy: A multiple comparison of
pain management alternatives
Abstract
Objectives: In this retrospective cross-sectional study, it was aimed to
evaluate pain management after Ferguson Hemoroidectomy. Design&Setting:
151 patients who underwent Ferguson Hemorrhoidectomy between June 2017
and July 2019 were retrospectively included in the study. Postop, 1st
day and 1st week Visual Analog Scale (VAS) and follow up durations based
on different pain management groups were compared. Results: VAS level
was highest in both groups on 1st day and 1st week in the group
administered 150 mg pethidine (sc), and the difference was statistically
significant (p<0.05). In the group treated with 200 mg
tremadol (iv) + 150 mg diclofenac sodium (im), the VAS level was the
lowest on 1st day and 1st week. The highest VAS levels were in the local
lidocaine group on 1st day and 1st week, whereas the lowest values were
in the 150 mg diclofenac sodium (im) + 50 mg dexketoprofen (oral) group.
Conclusion: There was four common pain management procedure during
hospitalization, whereas six pain management procedures were cumulated
after hospitalization. Results reveal that although there have been a
unique pain management procedure or a guideline on pain management after
Ferguson Hemoroidectomy, clinical research results may have contribution
for effective pain management after Ferguson Hemoroidectomy.